MercyOne Dubuque Medical Center
250 Mercy Drive, Dubuque, IA · MercyOne · · NPI 1659348506
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $869.63 | $1,337.90 | $95.33 – $802.74 | 41 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $405.55 | $623.93 | $222.74 – $623.93 | 33 |
| Brace back t-lso custom HCPCS L0486 | $2,912.40 | $4,480.62 | $1,599.58 – $4,480.62 | 33 |
| Brace back vista 464 tlso HCPCS L0648 | $475.16 | $731.02 | $97.88 – $505.04 | 41 |
| Brace cust back lso HCPCS L0631 | $1,821.40 | $2,802.16 | $0.36 – $1.00 | 33 |
| Brace fx hum ovr shldr lg HCPCS L3981 | $103.61 | $159.40 | $56.91 – $159.40 | 33 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $682.51 | $1,050.01 | $24.79 – $69.45 | 33 |
| Brace halo bremer l2830 HCPCS L2830 | $195.59 | $300.91 | $107.42 – $300.91 | 33 |
| Brace kafo dbl upright cust HCPCS L2036 | $2,418.37 | $3,720.57 | $1,328.24 – $3,720.57 | 33 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $272.60 | $419.39 | $81.28 – $419.39 | 41 |
| Brace knee extender plus 22-30in HCPCS L1832 | $1,503.03 | $2,312.35 | $22.24 – $114.75 | 41 |
| Brace knee hing pat open med HCPCS L1820 | $47.55 | $73.15 | $26.11 – $73.15 | 33 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $901.84 | $1,387.44 | $35.41 – $182.69 | 41 |
| Brace knee postop tscope xl HCPCS L1845 | $288.59 | $443.98 | $158.50 – $443.98 | 33 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $176.49 | $271.52 | $21.37 – $59.85 | 33 |
| Brace m arm board HCPCS L3809 | $45.37 | $69.80 | $7.11 – $36.70 | 41 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $1,969.50 | $126.00 | $27.35 – $212.00 | 49 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $243.55 | $374.69 | $70.95 – $366.09 | 41 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $476.06 | $732.40 | $214.52 – $600.89 | 33 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $432.84 | $665.91 | $0.62 – $3.21 | 41 |
| Brace tlso flex cust HCPCS L0450 | $1,982.56 | $3,050.10 | $1,088.89 – $3,050.10 | 33 |
| Brace wrist classic lft sm HCPCS L3908 | $78.86 | $121.32 | $0.62 – $3.22 | 41 |
| Brach/thor cath 1st CPT 36215 | $354.90 | $546.00 | $194.92 – $546.00 | 32 |
| Brachy source i-125 injection HCPCS C2638 | $182.00 | $182.00 | $64.97 – $182.00 | 33 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $115.00 | $115.00 | $14.28 – $73.65 | 117 |
| Brachy source palladium HCPCS C2640 | $288.70 | $288.70 | $26.78 – $75.00 | 33 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $275.00 | $275.00 | $40.91 – $129.60 | 46 |
| Brachy source yttrium-90 HCPCS C2616 | $60,990.00 | $60,990.00 | $17.85 – $35,719.73 | 117 |
| Braf gene CPT 81210 | $163.15 | $251.00 | $91.87 – $352.55 | 49 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $8,395.20 | $5,010.00 | $9.09 – $5,010.00 | 120 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $5,094.05 | $3,635.00 | $15.60 – $3,635.00 | 49 |
| Brain MRI (with and without contrast) CPT 70553 | $4,982.90 | $7,666.00 | $312.99 – $7,666.00 | 49 |
| Brain MRI (with contrast) CPT 70552 | $1,164.15 | $1,791.00 | $312.99 – $1,791.00 | 120 |
| Brain MRI (without contrast) CPT 70551 | $2,860.65 | $4,401.00 | $214.06 – $4,401.00 | 120 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $161.28 | $248.13 | $18.16 – $93.69 | 41 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,117.40 | $4,796.00 | $138.08 – $3,300.04 | 119 |
| Breast punct aspir cyst, bil CPT 19000 | $682.50 | $1,050.00 | $38.10 – $1,414.91 | 119 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $39,510.50 | $39,510.50 | $224.75 – $39,510.50 | 120 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $33,912.20 | not published | $7.38 – $14,101.44 | 89 |
| Bronch ebus samplng 1/2 node CPT 31652 | $32,126.48 | not published | $4.92 – $14,101.44 | 89 |
| Bronch ebus samplng 3/> node CPT 31653 | $34,418.32 | not published | $7.38 – $14,101.44 | 89 |
| Bronchial allergy tests CPT 95070 | $458.25 | $705.00 | $128.00 – $745.60 | 49 |
| Bronchial challenge CPT 94070 | $297.05 | $457.00 | $163.15 – $745.60 | 49 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $33,413.68 | $3,919.00 | $4.92 – $7,449.57 | 119 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $33,541.01 | not published | $5.13 – $14,101.44 | 89 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $14,803.65 | not published | $9.70 – $7,449.57 | 89 |
| Brush provox 4-10mm HCPCS L8513 | $27.23 | $41.90 | $14.96 – $41.90 | 33 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $15.15 | $15.15 | $1.14 – $10.50 | 104 |
| Bundled special stain group 1 microorganisms CPT 88312 | $11,845.00 | $219.00 | $4.50 – $219.00 | 785 |
| Bundled special stain group 2 CPT 88313 | $176.15 | $271.00 | $7.24 – $265.84 | 785 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $37,708.00 | $741.00 | $0.16 – $25,652.84 | 120 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $2.80 | $2.80 | $0.56 – $9.09 | 108 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $3.80 | $3.80 | $0.76 – $36.37 | 108 |
| Buprenorphine oral 1mg HCPCS J0571 | $1.70 | $1.70 | $0.34 – $1.70 | 108 |
| Bur rotalink 2.15mm HCPCS C1724 | $4,849.42 | $7,460.65 | $81.40 – $228.01 | 33 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $35.55 | $35.55 | $7.80 – $21.85 | 33 |
| Bx bone trocar/ndl deep CPT 20225 | $1,040.00 | $1,600.00 | $571.20 – $3,300.04 | 119 |
| Bx breast 1st lesion mr imag CPT 19085 | $4,473.30 | $6,882.00 | $161.90 – $4,587.00 | 48 |
| Bx breast 1st lesion strtctc CPT 19081 | $17,216.35 | not published | $2.70 – $3,300.04 | 89 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,077.70 | $1,658.00 | $69.34 – $1,658.00 | 32 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $19,349.97 | not published | $5.58 – $7,823.39 | 89 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $27,507.54 | not published | $4.92 – $7,823.39 | 89 |
| Bx of breast open 19101 CPT 19101 | $14,342.24 | not published | $2.70 – $7,823.39 | 89 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $12,293.79 | not published | $5.01 – $1,840.34 | 89 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $12,293.79 | not published | $5.01 – $1,840.34 | 89 |
| C-1 esterase, berinert HCPCS J0597 | $11,394.30 | $11,394.30 | $74.34 – $11,394.30 | 120 |
| C1 esterase inhibitor func - sendout CPT 86161 | $252.20 | $388.00 | $11.63 – $228.00 | 49 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $44,159.55 | $44,159.55 | $226.18 – $44,159.55 | 120 |
| Cable cath 22-pin diag HCPCS C1730 | $8,141.09 | $12,524.75 | $19.46 – $54.50 | 33 |
| Cable centrimag pressure HCPCS Q0508 | $123,355.44 | $189,777.60 | $0.76 – $2.13 | 33 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $21,398.90 | $21,398.90 | $22.14 – $14,265.95 | 120 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $46.00 | $46.00 | $16.42 – $46.00 | 33 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | $77,352.35 | $77,352.35 | $27,614.79 – $77,352.35 | 33 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $2,177.05 | $2,177.05 | $777.21 – $3,278.90 | 36 |
| Calcium 24 hour urine CPT 82340 | $65.65 | $101.00 | $5.84 – $101.00 | 49 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $1.00 | $1.00 | $0.20 – $1.00 | 105 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $36.80 | $36.80 | $13.14 – $36.80 | 104 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $90.75 | $90.75 | $15.64 – $43.80 | 33 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $83.00 | $83.00 | $29.63 – $83.00 | 33 |
| Calcium ionized CPT 82330 | $109.85 | $169.00 | $13.26 – $169.00 | 49 |
| Calcium total CPT 82310 | $25,260.47 | $63.00 | $5.00 – $63.00 | 120 |
| Calprotectin fecal CPT 83993 | $382.20 | $588.00 | $19.02 – $588.00 | 49 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | $78.94 | $121.45 | $21.06 – $108.68 | 41 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $36,313.87 | $55,867.50 | $17.24 – $48.30 | 33 |
| Cap nerve 2x15mm HCPCS C1763 | $24,158.39 | $37,166.76 | $19.31 – $54.10 | 33 |
| Cap trach decann 15mm HCPCS C1750 | $3,283.80 | $5,052.00 | $1.21 – $3.39 | 33 |
| Carbamazepine total therapeutic drug level CPT 80156 | $204.10 | $314.00 | $14.12 – $314.00 | 49 |
| Carbon dioxide CPT 82374 | $46.80 | $72.00 | $4.73 – $72.00 | 49 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $459.90 | $459.90 | $2.31 – $37.95 | 104 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $187.70 | $187.70 | $13.43 – $187.70 | 117 |
| Carboxyhemoglobin quantitative CPT 82375 | $179.40 | $276.00 | $11.93 – $276.00 | 49 |
| Carcinoembryonic ag (cea) CPT 82378 | $127.40 | $196.00 | $18.37 – $196.00 | 49 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $208.65 | $321.00 | $114.60 – $321.00 | 49 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $128.70 | $198.00 | $70.69 – $257.57 | 117 |
| Cardiolipin antibody iga CPT 86147 | $58.50 | $90.00 | $24.66 – $90.00 | 49 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $3,925.97 | $1,989.00 | $2.46 – $1,989.00 | 119 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $81.90 | $126.00 | $38.25 – $152.00 | 49 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $11,354.40 | $11,354.40 | $51.30 – $1,892.40 | 120 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $3,449.25 | $3,449.25 | $1,231.38 – $3,449.25 | 33 |
| Carotene CPT 82380 | $48.75 | $75.00 | $8.94 – $75.00 | 49 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.